Organization Active NPI

Jan-Care Ambulance of Raleigh County Inc

  • Land Ambulance
  • Beckley, WV
National Provider Identifier
1346222502
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JAN-CARE AMBULANCE OF RALEIGH COUNTY INC
Practice address
117 South Fayette Street
Beckley, WV 25801-9056
Phone
(304) 255-2931
Fax
(304) 255-0222
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph T Cornett
Title
Vice President
Phone
(304) 255-2931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

117 South Fayette Street
Beckley, WV 25801-9056

Mailing address

PO Box 2414
Beckley, WV 25802-2414
Phone (304) 255-2931

Other practice location 1

3779 Robert C Byrd Dr
Beckley, WV 25801-2945
Phone (304) 255-2931

Other practice location 2

183 Rural Acres Dr
Beckley, WV 25801-3581
Phone (304) 255-2931

Other practice location 3

326 S Eisenhower Dr
Beckley, WV 25801-5850
Phone (304) 255-2931

Other practice location 4

110 McCreery St
Beckley, WV 25801-4602
Phone (304) 255-2931

Other practice location 5

106 Travelers Ln
Beckley, WV 25801-3351
Phone (304) 255-2931

Other practice location 6

107 Main St
Sophia, WV 25921
Phone (304) 255-2931

Other practice location 7

142 Third St
Beaver, WV 25813
Phone (304) 255-2931

Other practice location 8

1952 Robert C Byrd Drive
Beckley, WV 25801
Phone (304) 255-2931

Other practice location 9

172 Saxon Bolt Road
Arnett, WV 25007
Phone (304) 255-2931

Other practice location 10

765 Bolt Road
Fairdale, WV 25839
Phone (304) 255-2931

Other practice location 11

5743 Robert C Byrd Drive
Bradley, WV 25818
Phone (304) 255-2931

Other identifiers 4

IdentifierTypeStateIssuer
000229636OtherWVBCBS OF WV
0149686MedicaidOH
3810008649MedicaidWV
1032235680001MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070110000327 WV Part B Supplier - Ambulance Service Supplier 4981604238 Practice locations: Mount Hope, WV; Sophia, WV; Macarthur, WV; Fairdale, WV; Beckley, WV; Arnett, WV; Beaver, WV
O20210217002920 WV Part B Supplier - Mass Immunization (Roster Biller Only) 4981604238 Practice locations: Beckley, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1001937Jan Care Ambulance of Raleigh Co110 McCreery St, Beckley, WV 25801Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

3779 Robert C Byrd Dr
Beckley, WV 25801

110 McCreery St
Beckley, WV 25801

213 S Kanawha St
Beckley, WV 25801
Phone (304) 252-9963

183 Rural Acres Dr
Beckley, WV 25801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1346222502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2414",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258022414",
            "telephone_number": "304-255-2931",
            "fax_number": "304-255-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SOUTH FAYETTE STREET",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019056",
            "telephone_number": "304-255-2931",
            "fax_number": "304-255-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3779 Robert C Byrd Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012945",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 Rural Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013581",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 S Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258015850",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 McCreery St",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258014602",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Travelers Ln",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013351",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Main St",
            "address_purpose": "LOCATION",
            "city": "Sophia",
            "state": "WV",
            "postal_code": "25921",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 Third St",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "WV",
            "postal_code": "25813",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1952 Robert C Byrd Drive",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "25801",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 SAXON BOLT ROAD",
            "address_purpose": "LOCATION",
            "city": "ARNETT",
            "state": "WV",
            "postal_code": "25007",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Bolt Road",
            "address_purpose": "LOCATION",
            "city": "Fairdale",
            "state": "WV",
            "postal_code": "25839",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5743 Robert C Byrd Drive",
            "address_purpose": "LOCATION",
            "city": "Bradley",
            "state": "WV",
            "postal_code": "25818",
            "country_code": "US",
            "telephone_number": "304-255-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAN-CARE AMBULANCE OF RALEIGH COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-255-2931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WV",
            "identifier": "000229636",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149686",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008649",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032235680001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.